Evidence map›Paper›PMID 37491992›Full record

ArticleClinical endoscopy2023

Significance of rescue hybrid endoscopic submucosal dissection in difficult colorectal cases.

Hayato Yamaguchi, Masakatsu Fukuzawa, Takashi Kawai, Takahiro Muramatsu, Taisuke Matsumoto, Kumiko Uchida, Yohei Koyama, Akira Madarame, Takashi Morise, Shin Kono and 4 more

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In one paragraph

Article in Clinical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Hayato YamaguchiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Masakatsu FukuzawaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Takashi KawaiEndoscopy Center, Tokyo Medical University Hospital, Tokyo, Japan.
Takahiro MuramatsuDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Taisuke MatsumotoDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Kumiko UchidaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Yohei KoyamaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Akira MadarameDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Takashi MoriseDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Shin KonoDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Sakiko NaitoDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Naoyoshi NagataEndoscopy Center, Tokyo Medical University Hospital, Tokyo, Japan.
Mitsushige SugimotoEndoscopy Center, Tokyo Medical University Hospital, Tokyo, Japan.
Takao ItoiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsHybrid endoscopic submucosal dissection (ESD), in which an incision is made around a lesion and snaring is performed after submucosal dissection, has some advantages in colorectal surgery, including shorter procedure time and preventing perforation. However, its value for rescue resection in difficult colorectal ESD cases remains unclear. This study evaluated the utility of rescue hybrid ESD (RH-ESD).

methodsWe divided 364 colorectal ESD procedures into the conventional ESD group (C-ESD, n=260), scheduled hybrid ESD group (SH-ESD, n=69), and RH-ESD group (n=35) and compared their clinical outcomes.

resultsResection time was significantly shorter in the following order: RH-ESD (149 [90-197] minutes) >C-ESD (90 [60-140] minutes) >SH-ESD (52 [29-80] minutes). The en bloc resection rate increased significantly in the following order: RH-ESD (48.6%), SH-ESD (78.3%), and C-ESD (97.7%). An analysis of factors related to piecemeal resection of RH-ESD revealed that the submucosal dissection rate was significantly lower in the piecemeal resection group (25% [20%-30%]) than in the en bloc resection group (40% [20%-60%]).

conclusionRH-ESD was ineffective in terms of curative resection because of the low en bloc resection rate, but was useful for avoiding surgery.

Indexed as

Colorectal neoplasmsEndoscopic mucosal resectionHybrid endoscopic submucosal dissectionPerforation

Identifiers

PMID37491992
PMCPMC10665627

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.